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1.
J Am Acad Child Adolesc Psychiatry ; 46(7): 801-10, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17581444

RESUMO

OBJECTIVE: To examine factors associated with eligibility and randomization and consider the efficiency of recruitment methods. METHOD: Adolescents, ages 12 to 17 years, were telephone screened (N = 2,804) followed by in-person evaluation (N = 1,088) for the Treatment for Adolescents With Depression Study. Separate logistic regression models, controlling for site, examined whether sex, age, race, or source of recruitment was associated with eligibility, providing written consent, or randomization. Efficiency was calculated from the number of completed telephone screens per each enrolled participant. RESULTS: Older adolescents were less likely to be eligible at telephone screening (odds ratio [OR] 0.81). Regardless of race, eligible adolescents who were referred by a professional had higher odds of presenting in-person for consent (OR 1.56). African Americans had statistically lower odds of providing consent (OR 0.67), particularly if recruited by advertisement (OR 0.54). Females were more likely to be diagnosed with major depressive disorder (OR 1.69). No significant differences were found between randomized participants and eligible adolescents who withdrew from the study before randomization. CONCLUSIONS: These findings underscore the importance of using multiple strategies to recruit adolescents for clinical trial participation and enhancing sensitivity to cultural variations, especially when reaching out to depressed African Americans.


Assuntos
Transtorno Depressivo/diagnóstico , Transtorno Depressivo/terapia , Programas de Rastreamento , Seleção de Pacientes , Adolescente , Criança , Transtorno Depressivo/psicologia , Feminino , Humanos , Entrevistas como Assunto , Masculino , Programas de Rastreamento/métodos , Razão de Chances , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa
2.
Psychiatr Serv ; 55(6): 706-8, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15175471

RESUMO

This article examines the use of psychotropic medications among youths in residential community-based placements. Data are from a study funded by the National Institute of Mental Health of therapeutic foster care (June 1999 through May 2001) and group homes (January through June 2001). Data were collected from staff by means of in-person interviews. Many youths in both settings received psychotropic medications, and approximately one-half were taking multiple psychotropic medications. After the authors controlled for demographic and clinical factors, the youths in group homes were nearly twice as likely as the youths in therapeutic foster care to receive medication. However, residential setting was not related to polypharmacology. Additional work is needed to study the appropriateness of use and implications of such patterns for research on intervention outcomes.


Assuntos
Cuidados no Lar de Adoção , Lares para Grupos , Transtornos Mentais/tratamento farmacológico , Psicotrópicos/uso terapêutico , Adolescente , Revisão de Uso de Medicamentos , Feminino , Humanos , Masculino , North Carolina , Polimedicação
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